Deitra Falgout Lebouef, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP120783 Issued in TX

Practice address

5924 W Parker Rd Ste 100
Plano, TX 75093-6417

Phone

(972) 697-5954

Fax

(469) 259-2854

NPI assigned

Jun 29, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19432/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Deltacare Hospice, LLC

  dba Icon Hospice

  • Community Based Hospice Care Agency
  • Garland, TX
  • NPI 1023346343

  W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DLNP LLC

  • Family Medicine Physician
  • Garland, TX
  • NPI 1053151498
  Medicare reassignment NPD
• Mihaela Perijoc, MD, PA

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1104057272
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1508153438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 N PRESIDENT GEORGE BUSH HWY APT 9202",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445542",
            "telephone_number": "972-697-5954",
            "fax_number": "469-259-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 W PARKER RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936417",
            "telephone_number": "972-697-5954",
            "fax_number": "469-259-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOUEF",
        "first_name": "DEITRA",
        "middle_name": "FALGOUT",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "664217",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "AP120783",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508153438",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BON",
            "identifier": "AP120483",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Leal
• Nohea Lauae Ananda Leatherman-Arkus, MD
• Alexa Christine Lebaron
• Benjamin Joseph Leblanc
• Lory R Leblanc, LPC
• Nichole Marie Lecznar, M.S.
• Betty Anne Ledet
• Elizabeth Ledford, MS, LPC
• Patryse Danielle Leduff, ARNP
• Lee Dental Group, PLLC (Spring Creek Dental)

• Family Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.